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Re: National, Regional and Local News

#2731

Post by ti-amie »

‪Mark Joseph Stern‬
‪@mjsdc.bsky.social‬
· 9m


🌐
Gutting government services kills people www.nytimes.com/2025/07/11/c...

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Gift link: https://www.nytimes.com/2025/07/11/clim ... =url-share

Also from the article:

The lack of responsiveness happened because the agency had fired hundreds of contractors at call centers, according to a person briefed on the matter who spoke on the condition of anonymity in order to discuss internal matters.
The agency laid off the contractors on July 5 after their contracts expired and were not extended, according to the documents and the person briefed on the matter. Kristi Noem, the homeland security secretary, who has instituted a new requirement that she personally approve expenses over $100,000, did not renew the contracts until Thursday, five days after the contracts expired. FEMA is part of the Department of Homeland Security.
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Re: National, Regional and Local News

#2732

Post by ti-amie »

There's also this about Noem:



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Re: National, Regional and Local News

#2733

Post by ti-amie »

‪Carl Quintanilla‬
‪@carlquintanilla.bsky.social‬
· 1h
WAPO: “.. even as a federal meteorologist warned of deteriorating conditions and catastrophic risk, county officials did not activate a more powerful notification tool they had previously used to warn of potential flooding.”

@washingtonpost.com

www.washingtonpost.com/investigatio...


Correct link: https://www.washingtonpost.com/investig ... emergency/
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Re: National, Regional and Local News

#2734

Post by ponchi101 »

South America now starts below parallel 49.
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Re: National, Regional and Local News

#2735

Post by ti-amie »

ponchi101 wrote: Sat Jul 12, 2025 4:23 pm South America now starts below parallel 49.
I'm sorry what did I miss?
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Re: National, Regional and Local News

#2736

Post by ponchi101 »

Parallel 49 is the border between the USA and Canada.
I used to joke that South America (including Mexico) started at the Rio Grande. But this kind of (expletive) up is the realm of South American countries, with the explanation that we are poor. We don't have the money for a FEMA, for example.
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Re: National, Regional and Local News

#2737

Post by ti-amie »

ponchi101 wrote: Sun Jul 13, 2025 12:23 am Parallel 49 is the border between the USA and Canada.
I used to joke that South America (including Mexico) started at the Rio Grande. But this kind of (expletive) up is the realm of South American countries, with the explanation that we are poor. We don't have the money for a FEMA, for example.
Got it and your point is well taken.
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Re: National, Regional and Local News

#2738

Post by ti-amie »

Flooding has spread to New Mexico. Sound on.

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Re: National, Regional and Local News

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Camp Mystic’s leader got a ‘life threatening’ flood alert. They evacuated an hour later.
Much of what made the camp special also put it at heightened risk as the river rose to record levels, a Post investigation found.

By Annie Gowen, John Muyskens, Arelis R. Hernández, Daniel Wolfe, Nicole Dungca, Naema Ahmed, Todd C. Frankel and Kevin Crowe
July 14, 2025 at 8:29 a.m. EDTToday at 8:29 a.m. EDT

Camp Mystic Executive Director Richard “Dick” Eastland did not begin to evacuate the young campers asleep in cabins near the rapidly rising Guadalupe River for more than an hour after he received a severe flood warning on his phone from the National Weather Service at 1:14 a.m. on July 4, the family said through a spokesman.

Eastland — who had run the beloved Christian-centered all-girls camp in Hunt, Texas, with his wife since the 1980s — rallied family members, some of whom lived and worked at the camp, on walkie-talkies to “assess the situation” soon after the alert went out, said Jeff Carr, the family’s spokesman. At 2:30 a.m., when rain was falling hard and fast, Eastland decided to begin evacuating campers, Carr said.

Richard Eastland Jr., Dick Eastland’s son, said in a brief interview with The Washington Post last week that “the warning came fast.” The camp had previously been under a flood watch that leadership was aware of, Eastland Jr. said. The National Weather Service’s more urgent alert at 1:14 a.m. had warned of “life threatening flash flooding” in Kerr County, where Camp Mystic is in a flood zone. The alert did not include an evacuation order. The federal agency does not have the authority to issue evacuation orders, a power that typically falls to local governments.

The statements from the family are the first indications that leaders at Camp Mystic — which has spotty cell service and a policy that limits the use of cellphones — received a warning about the flood before it devastated its 725-acre campus, killing 27 counselors and campers.

Dick Eastland died trying to rescue some of the youngest girls. Carr said that before making further comment, the surviving Eastland family members were gathering Sunday “really for the first time” to share experiences and knowledge of what happened that morning. “It will be important to go through this process and avoid sharing information on a piecemeal basis,” he said.

While Camp Mystic was not the only camp in the area to delay its evacuation, a Post examination found that many of the elements that made it special for generations of Texas girls also heightened its risk that night. The camp, six miles from the nearest town, was relatively isolated. Campers were not allowed to bring cellphones, and counselors had to keep theirs mostly locked away. Some of the cabins were less than 500 feet from the river, a natural feature central to several of the camp’s traditions.

Interviews with nearly two dozen counselors, emergency officials, parents and experts reveal that as Dick Eastland conferred with family members and other employees about how to respond to the alert, the camp descended into chaos as the floodwaters rose.

As the water encroached, the teenage counselors, cut off from others, were left to make frantic life-and-death decisions. They began rousting girls from their cabins, the younger campers screaming or crying as they waited for help or were ushered to higher ground. Dick Eastland, 70, and other staffers eventually realized that the Bubble Inn and Twins cabins, which held the littlest girls — some as young as 8 — were in the most danger, Eastland Jr. said. A swirling eddy of water had formed from two directions.

Dick Eastland and others on-site had walkie-talkies, which were used to alert the group around 1:35 a.m., the family said. Whether camp leaders called 911 is still unclear, but the Hunt Volunteer Fire Department’s chief told The Post he did not recall any requests for help coming from the camp.

The camp had a loudspeaker system, but it would have gone silent without electricity.

Parents of surviving children said they endured hours of reports on social media and on news outlets of water rescues, and deaths and devastation wrought by the flood, before they received communication from the camp. The first official email was sent from the camp at 11:28 a.m.

Serena Aldrich, a lawyer from San Antonio whose two girls were rescued from Camp Mystic, said leaders “should have been taking every precaution,” given the risk.

“My opinion is that they should have been paying attention to those warnings and evacuated the camp,” she said. “The flooding is not a new thing. I don’t know if it’s ever been to epic proportions like that, but ignoring the warnings doesn’t make a lot of sense to me.”

The National Weather Service alert predicted significantly less rainfall than what ultimately reached the camp.

As the blinding rain sluiced down, the Guadalupe River downstream began its historic rise just before 2 a.m. — eventually surging to 37.5 feet, according to measurements taken by crews with the U.S. Geological Survey after the floodwaters receded.

In his previous interview, Eastland Jr., 48, the head chef at the camp, said he and others in charge on July 4 did not expect the ferocity of the flood to come.

“It was tremendous and it was fast and we’ve never had water this high, ever,” he said. A 1939 flood had reached the floor of the dining hall at the nearly 100-year-old camp, he noted, but in this flood, “every minute was another foot.”

Eastland Jr.’s brother Edward waded through the water to rescue the girls in the Twins cabins, and his father moved toward Bubble Inn. Dick Eastland radioed that he needed help.

Then, nothing.

“In the darkness of night, rain coming down, just chaos,” Eastland Jr. said. “I just can’t believe …”

His voice trailed away.

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A drone image shows damage in Camp Mystic after the flooding. (Evan Garcia/Reuters)

For decades, summer camps like Mystic have been considered a rite of passage for families in Texas and beyond. Girls hike, canoe, fish and worship at the camp, which was founded in 1926, and has been owned by the same family for decades. Tuition was $7,600 for a four-week term.

The camp has clung tightly to its traditions: It allowed girls sugary treats only on special occasions. Campers brought compact disc players because they were not allowed phones or other devices with screens.

Executive directors Dick and Tweety Eastland, who have been involved with the camp since 1974, were like parents to the girls. They were named the directors in 1987, according to a 2011 Texas Monthly story. Dick taught fishing, and Tweety was like “sunshine and rainbows and unicorns — that was just her,” recalled Aldrich, a former camper.

The Eastlands had four boys, three of whom are involved in the camp (a fourth, James, died in 2015). Aside from Eastland Jr. running the dining hall, Edward and his wife, Mary Liz, are the camp’s directors. The last son, Britt, and his wife, Catie, run a nearby sister camp, according to Mystic’s website.

The relative isolation and peaceful backdrop of Camp Mystic, set on the river and dotted with cypress trees, were part of its allure for decades, but the idyll masked the danger.

Image
What made Camp Mystic so alluring also put it at heightened risk for danger.
(Ronaldo Schemidt/AFP/Getty Images)

It was almost inevitable that the cabins at Camp Mystic would experience massive flooding, three experts said. The Federal Emergency Management Agency in 2013 approved appeals from Camp Mystic to exempt several structures from a flood zone designation, according to federal records.

“It’s just obvious that this is a place that should never have been built upon,” said Oliver Wing, the chief scientific officer at Fathom, a water risk intelligence firm. “There should not be a single inhabited structure in a floodway. … It’s unforgivable what’s happened here.”


The camp long embraced the ebbs and flows of the river that was central to its ethos — girls competed in canoe races, went for swims and were baptized in its waters. Minor flooding events were common. The older girls on “Senior Hill” would routinely be cut off when the walkway along Cypress Creek was impassable in the mornings, so camp leaders would bring them food by canoe, Aldrich recalled.

But other, more serious events had affected camps in the area. In July 1987, 10 teenagers were killed as they fled a flash flood at Pot O’ Gold Ranch, a Christian camp also along the Guadalupe River. A year later, two brothers were swept away in flash floods at the Bear Creek Scout Reservation camp.

In 1985, trapped by winter flooding, Tweety Eastland had to be airlifted by a military helicopter from Camp Mystic to give birth at a hospital, according to news reports at the time.

Mark Nacol, an attorney for the families that sued and won a private settlement in the Pot O’ Gold case, said last week that he was stunned that flooding had again led to such tragedy.

He recalled telling the jury four decades ago that the Guadalupe “is a beautiful, beautiful river, but she ain’t no lady.” The lesson back then was the need for sirens and alarms.

An automated flood warning system that relied on water gauges was installed along the Guadalupe in 1989. But a decade later, the company that monitored it had closed, and river authorities shut it down. So locals returned to “the old-fashioned way,” with river spotters issuing warnings via telephone up and down the waterway, according to the Kerrville Daily Times.


Image
A helicopter flies over the Guadalupe River in Kerrville, Texas, on July 4, after a flash flood swept through the area. (Eric Gay/AP)

The Post reported last week that Kerr County officials had the technology to turn every cellphone in the river valley into an alarm — the blaring tone similar to Amber Alerts — but they did not use it to alert people in the area until more than two days after the height of the crisis, as more rain fell and threatened further flooding.

The camp had a written disaster plan that staff had been trained on, according to a state health inspector who visited on July 2 and said everything was in working order.

But as the waters began rising around 2 a.m., counselors were given conflicting messages about how to keep the approximately 550 campers safe from the danger around them, according to interviews.

Ainslie Bashara, 19, a counselor for the Giggle Box cabin for girls 8 to 10 years old, told The Post that she sat anxiously watching her campers through flashes of lightning — checking her watch at 1:58 a.m. Not long after, she heard 8-year-olds in a nearby cabin start shrieking, and then saw older girls running up the road with blankets and pillows to the recreation hall on higher ground.

“Are we staying or leaving?” she yelled out the window.

“Stay in your cabin!” she recalled a staff member shouting back.

She and the other counselors decided to leave when water breached their cabin around 3 a.m. After a staff member removed the window screens from the outside, allowing them to escape, the counselors took the girls through waist-high water and up a nearby hill. She said she could hear girls in another cabin begging for help over the roaring river.

Lara Clement said her daughter, Nancy, an 18-year-old counselor and camp photographer, was woken up by the rain at 1:30 a.m. As water rushed inside the staff cabin, the Baylor University student climbed to the roof. She was still there at 5 a.m., when she texted her mother that she was safe.

Aldrich said the sound of thunder woke her 12-year-old daughter, who was bunking in the Look Out cabin on Senior Hill. Her counselors soon appeared and moved the girls to a higher-elevation cabin, where they hunkered down for hours, making up silly songs.

Aldrich’s younger daughter, 9, who slept in an area closer to the river called “The Flats,” was woken by her counselor, who told the campers to form buddy teams.

Image
Chairs lie inside a damaged room at Camp Mystic. (Sergio Flores/Reuters)

The counselors led the girls, still in their pajamas and some without shoes, through chest-high water to a nearby hill. Once they reached the top, they sheltered in a pavilion near the camp’s famous lighted sign that spells “MYSTIC.” It had gone dark.

The group went to the dining hall of the neighboring camp run by the Eastlands, and they were later evacuated by helicopter.

Eastland Jr. said the family eventually located his brother, Edward, clinging to a tree with “10 to 12” girls about 200 yards from their cabin. They had all survived.

His father was found in a black SUV with three other girls from the camp that he had been trying to rescue. No one made it. Dick Eastland died on the way to the hospital, authorities said.

In interviews, parents faulted not only the camp, but also Kerr County and other authorities for not responding quickly to the Weather Service’s and other warnings. Kerr County officials did not respond to requests for comment.

Kerr County Judge Robert Kelly said at a news conference on July 5 that “no one knew this kind of flood was coming.”

“This is the most dangerous river valley in the United States, and we deal with floods on a regular basis,” he said. “When it rains, we get water. We had no reason to believe that this was going to be anything like what’s happened here. None whatsoever.”


Floodwaters inundated and destroyed the gauge shortly after, according to a U.S. Geological Survey spokesperson. The Guadalupe River surpassed its previous record flood height by nearly a foot, reaching 37.5 feet on the morning of July 4.

Clement, whose daughter is a counselor, said she is reluctant to criticize the staff’s decisions, saying, “I don’t know what could have been done differently, other than the idea of evacuating earlier, and just assuming the worst.”

Lee Pool, the chief of the Hunt Volunteer Fire Department, said he was woken early in the morning by radio chatter about the river starting to flood. Pool headed toward the river but encountered roads blocked by surging floodwaters. As the water kept rising, Pool said, he knew his 36-member volunteer force — the only fire department in that area — was overwhelmed.

Pool does not recall receiving requests for help from Camp Mystic, which is about eight miles from the fire station.

“I didn’t hear anything about Camp Mystic,” said Pool, 53, who has been the fire chief for eight years. “There was just a lot of water, and I knew everyone was affected.”


After the immediate surge of floods receded, camp officials seemed to have struggled on their own for hours to manage the rescue operation. They did not officially contact most parents, many of whom were growing hysterical seeing the terrifying images of the flood online and on the news, until the late morning, according to emails obtained by The Post.

The mother of one survivor, who spoke on the condition of anonymity to describe private conversations, said that she and other mothers were repeatedly trying to call the Kerr County Sheriff’s Office for information about the girls’ fate that morning. She reached one deputy who “said they had no communication with Mystic,” she recounted. “When he couldn’t tell me anything about what was going on — that was frankly terrifying.”

At 7:48 a.m., Aldrich sent a private text to Mary Liz Eastland, the camp co-director, whom she had known since childhood, when they had both been campers at Mystic. The two were also in a group chat of 2001 camp alumni.

“I’m getting lots of nervous texts from my look out cabin moms and mother in law. I’m sure you’re extremely busy. Is everyone ok and safe? Hungry and/or thirsty is fine, as long as no one washed away,” Aldrich wrote.

No answer.

At 9:09 a.m., Aldrich heard back from Mary Liz on the 2001 Camp Mystic group chat.

“Your girls are ok,” Mary Liz texted.

“ML, are you ok??” Aldrich texted back.

“No,” she said.

“Sending all the love I can,” Aldrich said. Mary Liz put a heart emoji on that text.

At 11:28 a.m., parents received the first email communication from the camp. Staff had decided to call only the parents whose children were missing, officials said at the time.

“Camp Mystic Families,” the email said, “We have sustained catastrophic level floods. We have no power, water, or wifi. … If your daughter is not accounted for you have been notified. If you have not been personally contacted then your daughter is accounted for.”


Mary Liz texted other moms and alumni groups, saying, “We need evacuation vehicles for the current campers here,” according to one mom’s group thread obtained by The Post. “Like military tanks or something. If you have a connection please reach out to Mary Liz.”

The next email came at 2:41 p.m. and said the campers were being evacuated by helicopter in small groups to an elementary school in the nearby town of Ingram, which had become an emergency command center.

Aldrich and her sister started driving, reaching the school around 5:30 p.m. When Aldrich hugged her daughters for the first time, they all wept.

Earlier that afternoon, the director of the adjacent Cypress Lake location gathered the campus’s counselors to tell them about the catastrophe that had engulfed the Guadalupe campus overnight.

One of those counselors, Emma Claire Kraft, 20, recalled going back to her cabin and telling her young campers that girls from the other camp might join them for a sleepover.

Kraft, who had been baptized in Cypress Creek that summer, said she and her fellow counselors didn’t tell the girls what had happened, to keep them calm. They played card games and focused on other rainy-day activities.

After dinner, the girls from Kraft’s cabin and one other piled into a boat hitched to the back of a truck to evacuate.

As the devastation at their sister campus came into view, she wanted to protect her young campers. She told the girls to close their eyes.

Tim Craig, John Woodrow Cox, Joyce Sohyun Lee, Imogen Piper, Niko Kommenda, Daranee Balachandar, Aaron Schaffer, Alice Crites, Monika Mathur, Razzan Nakhlawi and Beck Snyder contributed to this report.

For reconstructing and understanding the flood risks at Camp Mystic, The Washington Post consulted the expertise of: Hatim Sharif, a professor of civil and environmental engineering at the University of Texas at San Antonio; Allison C. Reilly, an associate professor in the Department of Civil and Environmental Engineering at the University of Maryland at College Park; Briana Wyatt, a professor of soil physics and hydrology at Texas A&M University; and Oliver Wing, the chief scientific officer at Fathom.

https://www.washingtonpost.com/nation/i ... as-floods/
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Re: National, Regional and Local News

#2740

Post by ti-amie »

“Do not grow old, no matter how long you live. Never cease to stand like curious children before the Great Mystery into which we were born.” Albert Einstein
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Re: National, Regional and Local News

#2741

Post by Owendonovan »

Why on earth would you want a Water Buffalo in Oklahoma?

An Oklahoma man was killed on Friday when he was attacked by two water buffaloes that he had bought at a livestock auction just a day earlier, the authorities said on Monday.

The man, Bradley McMichael, 47, was found in the animals’ enclosure with “multiple deep lacerations that proved to be fatal,” the Jones Police Department said in news release.

When emergency workers responded around 8:30 p.m. to McMichael Farms in Jones, Okla., northeast of Oklahoma City, Mr. McMichael was inside a structure and all they could see were his legs, Chief Bryan K. Farrington of the Jones police said in an interview on Monday.

By the time the workers were able to make their way to him, “he had succumbed to his injuries already,” according to the chief, who said that Mr. McMichael had been attacked by both animals.

The animals, which were euthanized, delayed emergency responders from helping Mr. McMichael, the police said.

“We could not get through the gate to get to where Mr. McMichael was,” Chief Farrington said, describing how the water buffaloes had prevented help from getting to Mr. McMichael by “pushing back against the gate” and “raising the gate up in the air with their horns.”

“He was in the pen with them,” he said. “We could not get access to him because they would not let us in the pen.”

It’s believed that Mr. McMichael became trapped in the animals’ enclosure on Friday night while he was tending to them, according to the police.

McMichael Farms announced Mr. McMichael’s death on Facebook on Sunday, noting that “we lost Bradley on Friday in a tragic accident.”

“His farm was his dream and I had the privilege of helping him with it for a little while,” said the post, which was signed by “Jennifer.”

Chief Farrington said that he was not aware of any previous fatal water buffalo attacks in the area, and that “multiple people around the area have had water buffalo before.”
https://www.nytimes.com/2025/07/14/us/w ... ahoma.html
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Re: National, Regional and Local News

#2742

Post by Owendonovan »

ti-amie wrote: Mon Jul 14, 2025 10:39 pm
There's a dark side of me that hopes one or more of those people lost someone in those floods.
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Re: National, Regional and Local News

#2743

Post by ti-amie »

P1/2

Chronic Venous Insufficiency (CVI)
Chronic venous insufficiency (CVI) happens when your leg veins become damaged and can’t work as they should. Normally, valves in your leg veins keep blood flowing back up to your heart. But CVI damages those valves, causing blood to pool in your legs. This increases pressure in your leg veins and causes symptoms like swelling and ulcers.

Overview
What is chronic venous insufficiency?
Chronic venous insufficiency (CVI) is a form of venous disease that occurs when veins in your legs are damaged. As a result, these veins can’t manage blood flow as well as they should, and it’s harder for blood in your legs to return to your heart. CVI causes blood to pool in your leg veins, leading to high pressure in those veins.

CVI can happen due to damage in any of your leg veins. These include your:

Deep veins, which are large veins deep in your body that run through your muscle.
Superficial veins, which are close to your skin’s surface.
Perforating veins, which connect your deep and superficial veins.
CVI may cause mild symptoms at first. But over time, this condition may interfere with your quality of life and lead to serious complications.

Chronic venous insufficiency vs. post-thrombotic syndrome
Both terms refer to the same problem of damaged leg veins. Post-thrombotic syndrome is chronic venous insufficiency caused by deep vein thrombosis (DVT). DVT is a blood clot in a deep vein in your leg. “Post-thrombotic” means after a blood clot (which is also called a “thrombus”). After the blood clot is gone, it can leave scar tissue that damages your vein.

About 20% to 50% of people who’ve had DVT develop post-thrombotic syndrome, usually within one to two years.

How common is chronic venous insufficiency?
Venous disease in general is very common. For example, varicose veins affect about 1 in 3 adults. Each year, about 1 in 50 adults with varicose veins go on to develop chronic venous insufficiency.

Chronic venous insufficiency usually affects people over age 50. The risk goes up the older you get.

Overall, chronic venous insufficiency affects about 1 in 20 adults.

How does chronic venous insufficiency affect my body?
Chronic venous insufficiency slows down blood flow from your legs back up to your heart. Without treatment, CVI raises the pressure in your leg veins so much that your tiniest blood vessels (capillaries) burst. When this happens, the skin in that area takes on a reddish-brown color and can easily break open if bumped or scratched.

These burst capillaries can cause:

Tissue inflammation in that area.
Tissue damage.
Venous stasis ulcers. These are open sores on your skin’s surface.
Venous stasis ulcers don’t heal easily, and they can become infected. The infection could spread to nearby tissue. This condition is known as cellulitis, which is dangerous if not treated right away.

What are the signs and symptoms of chronic venous insufficiency?
Chronic venous insufficiency signs and symptoms include:

Achy or tired legs.
Burning, tingling or “pins and needles” sensation in your legs.
Cramping in your legs at night.
Discolored skin that looks reddish-brown.
Edema (swelling) in your lower legs and ankles, especially after standing a while or at the end of the day.
Flaking or itching skin on your legs or feet.
Full or heavy feeling in your legs.
Leathery-looking skin on your legs.
Ulcers (open sores), usually near your ankles. If they’re very painful, they may be infected.
Varicose veins.
Severe edema in your lower leg can cause scar tissue to develop. This scar tissue traps fluid in your tissues. Your calf may feel large and hard to the touch. When this happens, your skin is more vulnerable to persistent ulcers.

You may not have all of these issues at once. Instead, you may only have one or two. Your signs and symptoms depend on how far your condition has progressed.

What are the stages of chronic venous insufficiency?
The stages of venous disorders range from 0 to 6. “Venous disorders” is a general category for many possible issues with your veins, including CVI. The stages are based on clinical signs, which are things your provider can see or feel when they examine your legs.

Venous disorder stages include:

Stage 0: No signs that can be seen or felt. You may feel symptoms like achy or tired legs.
Stage 1: Visible blood vessels, including spider veins.
Stage 2: Varicose veins at least 3 millimeters wide.
Stage 3: Edema (swelling) but no skin changes.
Stage 4: Changes to your skin’s color and/or texture.
Stage 5: Healed ulcer.
Stage 6: Acute (active) ulcer.
You’ll be diagnosed with chronic venous insufficiency if you’re at stage 3 or above. In other words, having varicose veins doesn’t mean you have CVI. But varicose veins are a sign of blood flow problems that could get worse over time. So, it’s important to tell your provider about any new varicose veins you notice.

What causes chronic venous insufficiency?
Chronic venous insufficiency happens when the valves in your leg veins don’t work properly. Your leg veins contain valves that help your blood flow in the correct direction (toward your heart). If a valve becomes damaged, it can’t close properly. Gravity takes over, and blood struggles to flow upward toward your heart. It instead flows backward, a situation known as venous reflux.

Causes of valve malfunction may be congenital, primary or secondary.

Congenital causes are malformations in your leg veins that you’re born with. For example, some people are born without valves in their leg veins.
Primary causes are any changes to your leg veins that prevent them from working as they should. For example, your vein may get too wide, preventing its valve from closing all the way.
Secondary causes are other medical issues that damage your leg veins. Deep vein thrombosis (DVT) is usually the culprit. The thrombus (blood clot) leaves behind scar tissue that damages your valve.
What is the most common cause of chronic venous insufficiency?
Deep vein thrombosis (DVT) is the most common cause of chronic venous insufficiency. The blood clot damages the valve in your leg vein. People with a history of DVT face a higher risk of developing CVI.

Diagnosis and Tests
How is chronic venous insufficiency diagnosed?
Chronic venous insufficiency is diagnosed through a physical exam and ultrasound imaging. During the physical exam, your provider will:

Carefully examine your legs. Your provider will look for clinical signs of CVI, like ulcers or changes in skin color.
Perform a vascular ultrasound. This painless test uses sound waves to create an image of your veins. It shows which parts of your veins are damaged.
Your provider will also rule out other medical conditions that could be causing your symptoms. This may involve other tests like an MRI.

Many people with CVI also have peripheral artery disease (PAD). So, your provider may ask questions or run tests to check you for PAD. If you have both CVI and PAD, your provider will advise you on treatment methods and precautions you need to take with compression therapy.

Management and Treatment
What are the treatments for chronic venous insufficiency?
Treatment for chronic venous sufficiency involves lifestyle changes and compression therapy. If these measures aren’t enough, your provider may recommend a procedure or surgery. The best treatment for you depends on how far your condition has progressed and other medical conditions you have. Your provider will tailor treatment to your individual needs.

The goals of treatment are to:

Help your blood flow better in your veins.
Help ulcers heal and limit their chances of coming back.
Improve your skin’s appearance.
Reduce pain and swelling.
Lifestyle changes
Usually, providers recommend lifestyle changes as the first method of treatment for CVI. These include:

Leg elevation: Lifting your legs above the level of your heart can help reduce pressure in your leg veins. Your provider may suggest you do this for 30 minutes or longer at least three times per day.
Exercise: Walking and other forms of exercise can help blood flow better in your leg veins. Each time you take a step, your calf muscle squeezes and helps your veins pump blood back up to your heart. This “calf muscle pump” is known as your “second heart.” It helps blood in your legs defy gravity, and it’s vital for your circulation. So, making your calf muscles stronger can help improve your blood flow. Your provider may also recommend foot and ankle flexing exercises.
Weight management: Extra weight can put pressure on your veins and damage the valves. Ask your provider what a healthy weight is for you. Work with your provider to come up with a healthy and manageable plan for achieving that weight.
Compression therapy
Providers commonly recommend compression therapy for treating CVI. Compression therapy helps ease swelling and discomfort in your legs.

There are many types of compression bandages and stockings. Some offer more compression than others. Very tight stockings require a prescription.

Some stockings are “graduated,” meaning they’re tighter down by your ankles and less tight further up your leg. It’s essential that you follow your provider’s guidance on the type of compression you need and when to use it.

Many people with CVI struggle to wear compression stockings over the long term. But compression therapy is very important to help your veins work better and ease your symptoms. If you struggle with compression therapy, talk with your provider. You may need a different type of stocking. Or, your provider may offer advice to make the treatment plan more doable for you.

If stockings don’t help, your provider may suggest intermittent pneumatic compression (IPC). IPC devices are inflatable sleeves you wear on your legs that help blood flow through your veins.

People who have peripheral artery disease (PAD) need to be careful with compression therapy. Your provider may caution you not to use it at all depending on the extent of your PAD. Closely follow your provider’s instructions.

Medications
Medications used to treat CVI include:

Antibiotics to clear skin infections or ulcers caused by CVI. These medications don’t treat the underlying disease.
Anticoagulants, or “blood thinners,” to treat blood clots and prevent future blood clots from forming.
Medicated wrap known as an Unna boot. This wrap combines multilayer compression with a zinc oxide gel-based wound cover that forms a semi-rigid bandage.
Nonsurgical treatment
Nonsurgical treatments for CVI include:

Sclerotherapy: Your provider injects a foam or liquid solution into your spider vein or varicose vein. This causes the vein to collapse or disappear.
Endovenous thermal ablation: This technique targets large veins. It uses a laser or high-frequency radio waves to create intense heat. This heat closes up the diseased vein but leaves it in place so there’s minimal bleeding or bruising.
Surgical treatment
Surgical treatments for CVI include:

Ligation and stripping: These two procedures are often performed together. For vein ligation, your provider cuts and ties off the problem veins. Stripping is the surgical removal of larger veins through two small incisions.
Microincision/ambulatory phlebectomy: This is a minimally invasive procedure. It targets varicose veins near your skin’s surface. Your provider makes small incisions or needle punctures over your veins. Then, they use a phlebectomy hook to remove the problem veins.
Subfascial Endoscopic Perforator Surgery (SEPS): This is a minimally invasive procedure. It targets your perforating veins above your ankle. Your provider uses a clip to block off damaged veins so blood doesn’t flow through them. SEPS helps ulcers heal and also helps prevent them from coming back.
Vein bypass: This is similar to heart bypass surgery, just in a different location. Your provider takes part of a healthy vein from somewhere else in your body and uses it to reroute blood around your damaged vein. Providers only use this method in severe cases when no other treatment is effective.
Outlook / Prognosis
What can I expect if I have chronic venous insufficiency?
CVI usually isn’t life-threatening and doesn’t result in amputation. But it’s a progressive disease that can cause discomfort, pain and reduced quality of life. Treatment can help manage your symptoms and give you a better quality of life.

Venous ulcers are difficult to treat, and they may return even after treatment. It’s important to keep all your medical appointments and closely follow your provider’s guidance.

Can chronic venous insufficiency be reversed?
Treatment can’t reverse the damage to your vein valves. But it can reverse your symptoms so that you feel better and have a better quality of life. Some procedures and surgeries can target and remove the damaged veins so that blood doesn’t flow through them anymore.

Similarly, chronic venous insufficiency can’t be cured. But you can manage the condition with lifestyle changes and other treatments your provider recommends.

Prevention
What are the risk factors for chronic venous insufficiency?
If you have risk factors for CVI, you’re more likely than other people to develop the disease. Risk factors include:

History of deep vein thrombosis (most important).
Varicose veins or a family history of varicose veins.
Obesity.
Pregnancy.
Not getting enough physical activity.
Smoking and tobacco use.
Sitting or standing for long periods of time.
Sleeping in a chair or recliner.
May-Thurner syndrome.
Being female.
Being over age 50.
How can I prevent chronic venous insufficiency?
Sometimes, CVI can’t be prevented. But you can lower your risk of CVI and other vein problems by making some lifestyle changes. These include:

Avoid smoking and tobacco use.
Avoid wearing restrictive clothing like tight girdles or belts.
Don’t sit or stand for too long at a time. Get up and move around as often as you can.
Eat a heart-healthy diet. This includes reducing your sodium (salt) intake.
Exercise regularly.
Keep a healthy weight.
If you’ve had DVT, your provider may recommend anticoagulants.

Living With
How do I take care of myself with chronic venous insufficiency?
Your provider will tell you how to manage CVI at home. Some general tips include:

Avoid long periods of standing or sitting. On long car or plane rides, flex and extend your legs, feet and ankles about 10 times every 30 minutes. This helps your blood flow through your leg veins. If you have to stand for a while, take breaks often to sit down and elevate your feet.
Check your skin. Each time you shower, check your skin. If you notice any changes, like new ulcers, call your provider.
Elevate your legs. When sitting or lying down, elevate your legs above the level of your heart.
Exercise on a regular basis. Walking is especially helpful for your leg veins.
Manage your weight. Keep a weight that’s healthy for you. Talk with your provider about what that weight is.
Practice good skin hygiene. Wash and moisturize your skin every day. Ask your provider what kind of moisturizer is best for your skin. Keeping your skin moisturized will help prevent flaking and cracks, which could become infected. Your provider may also recommend creams to reduce itching, protect your skin or prevent fungal infections.
Wear compression stockings if your provider recommends them. This is one of the best ways to manage CVI. There are many different types, so follow your provider’s guidance on which type is best for you. Also, ask your provider how best to wash and care for your stockings.
When should I see my healthcare provider?
See your provider if you have any risk factors for chronic venous insufficiency. Your provider can assess your risk factors and help you lower them.

If you have CVI, keep all your medical appointments, and follow your provider’s guidance on when to return.

Call your provider if:

You have any questions about your condition.
You have new or changing symptoms.
Your compression stockings don’t fit right. There shouldn’t be any bunching. Elastic stockings that don’t fit right can make your condition worse by blocking blood flow in the area where they’re bunched up.
When should I go to the ER?
Call your local emergency number right away if you have symptoms of a pulmonary embolism. This is a life-threatening complication of deep vein thrombosis. It needs immediate medical attention.

What questions should I ask my healthcare provider?
There’s a lot to learn about chronic venous insufficiency. Don’t hesitate to ask your provider any question that comes to mind. You may also want to ask:

What stage of chronic venous insufficiency am I at?
How can I manage CVI at home?
How can you help me stick with compression therapy?
Do I need a procedure or surgery?
What can I do to prevent my CVI from getting worse?
A note from Cleveland Clinic
Vein problems are often more than just a cosmetic concern. Chronic venous insufficiency gets worse over time and can greatly interfere with your quality of life.

If you’ve been dealing with venous disease for a while, you’re probably frustrated and wish it would just go away. Luckily, there’s a lot you can do on your own to manage your symptoms and feel better. But sticking with the program is essential. Talk with your provider about strategies for keeping up a daily treatment plan and making compression therapy doable for you.
“Do not grow old, no matter how long you live. Never cease to stand like curious children before the Great Mystery into which we were born.” Albert Einstein
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Re: National, Regional and Local News

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Post by ti-amie »

P2/2

Trump diagnosis is rare acknowledgement of president’s health concerns
Trump has chronic venous insufficiency, White House physician says, a diagnosis common in people over 70.

By Emily Davies
The White House on Thursday said that President Donald Trump has been diagnosed with a mild but chronic illness related to his age — a rare admission from one of the nation’s oldest presidents who has long sought to project vigor.

Trump has chronic venous insufficiency, the White House physician said in a memorandum, a condition in which the legs have trouble delivering blood back to the heart.

In an afternoon press briefing, White House press secretary Karoline Leavitt described the diagnosis as “a benign and common condition, particularly in individuals over the age of 70.”

She introduced the issue after images circulated online this week of Trump with swollen legs at the FIFA World Cup and a bruised hand caked in makeup, prompting swarms of internet users to speculate that his administration was covering up a health crisis.

Trump rose to power a second time in part by drawing contrast to the mental and physical health of his predecessor, former president Joe Biden, and accusing his administration of concealing a cognitive decline. Now 79 years old, Trump has released a series of glowing medical letters about his health, repeatedly boasted about acing a cognitive test that he said was administered to him during his first term, and gone out of his way to flex his stamina with photos of golf outings and long, rousing speeches to his supporters.

As he has sought to project strength, Trump during both his 2020 and 2024 campaigns frequently raised questions about Biden’s stamina, routinely referring to him with nicknames such as “Sleepy Joe.” He also cast Biden as dishonest about his health — a charge embraced by his base that Trump continues to stoke while in office with investigations into what Biden’s aides knew about the former president’s mental acuity.

Leavitt told reporters during the press briefing that the president noticed “mild swelling” in his lower legs and received an exam by the White House medical unit. She said the bruising on the back of his hands is “consistent with minor-soft tissue irritation from frequent handshaking and the use of aspirin, which is taken as part of a standard cardiovascular prevention regiment.”

Some people are at a higher risk of developing chronic venous insufficiency (CVI) and varicose veins due to their family history, said Thomas Maldonado, medical director of the Venous Thromboembolic Center at NYU Langone Health. Pregnant people and individuals who are overweight are also at increased risk of the condition. CVI can also be caused by sitting or standing for long periods of time.

Symptoms of CVI include aching, throbbing or a feeling of fatigue in the legs, said Chelsea Dorsey, the director of the Vein Clinic at UChicago Medicine. Swelling, skin discoloration and varicose veins are other signs, she said. Chronic cases can lead to complications, and in some cases, CVI can be a sign of a more serious condition such as problems with the heart, liver or kidneys, doctors said.

Leavitt said Trump’s doctor, Sean Barbabella, found no evidence of arterial disease, heart failure or other systemic illnesses. He provided the diagnosis in a memorandum sent Thursday, according to the document shared by the White House.

In April, Barbabella pronounced Trump, the oldest person to be sworn in as U.S. president, “fully fit” to execute the duties of the presidency.

Teddy Amenabar and Richard Sima contributed to this report.

https://www.washingtonpost.com/politics ... fficiency/

Now read/reread the post just above this one.
“Do not grow old, no matter how long you live. Never cease to stand like curious children before the Great Mystery into which we were born.” Albert Einstein
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Re: National, Regional and Local News

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Post by ponchi101 »

Ooooooh.
And that is a bad way to go. Especially if he does not ease up on the burgers.
Ego figere omnia et scio supellectilem
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